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NICOLE DUDANEY MD
NPI 1316696743
Pediatrics in Pleasanton, CA

Active since March 22, 2022PECOS Enrolled
5575 W LAS POSITAS BLVD STE 340, PLEASANTON, CA 94588(925) 847-9777 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2025, Aug 12, 2025 (2 updates tracked since 2025).

About Nicole Dudaney Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE DUDANEY MD (NPI 1316696743) is an individual pediatrics provider in Pleasanton, California, licensed in California (A197379) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1316696743
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE DUDANEYCredential: MD
Location Address5575 W LAS POSITAS BLVD STE 340Pleasanton, CA 94588-5804
Mailing Address5575 W Las Positas Blvd Ste 340Pleasanton, CA 94588-5804 · (925) 847-9777
Phone(925) 847-9777
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1316696743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A197379
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5575 W LAS POSITAS BLVD STE 340, Pleasanton, CA 94588
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Secondary Practice Location 1

Location 1505 S Main St Ste 525Orange, CA 92868-4553 · Phone (714) 456-5631

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Dudaney Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Dudaney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lpch Medical Group Div Of Lucile
24 mi
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94588 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Dudaney's NPI number?

The NPI number for Nicole Dudaney is 1316696743. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Nicole Dudaney located?

Nicole Dudaney practices at 5575 W Las Positas Blvd Ste 340, Pleasanton, CA 94588. The listed phone number is (925) 847-9777.

What is Nicole Dudaney's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Dudaney enrolled in Medicare?

Yes. Nicole Dudaney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Dudaney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dudaney reassigns Medicare benefits to Lpch Medical Group Div Of Lucile (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Dudaney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Dudaney was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.